Individual provider Active NPI

Ryan Thomas Smedley, O.D.

  • Corneal and Contact Management Optometrist
  • Westminster, CO
National Provider Identifier
1194936401
Registry record updated Nov 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2428 Issued in CO
Practice address
5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178
Phone
(720) 355-2131
NPI assigned
May 25, 2007
Last updated
Nov 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2428 CO Primary

Addresses

Primary practice location

5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178

Mailing address

10442 Town Center Dr
Ste 600
Westminster, CO 80021-6098
Phone (303) 980-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120516000739 CO Practitioner - Optometry 3173786803 Reassigns benefits to 1 organization
I20260226000857 NV Practitioner - Optometry 3173786803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3301 Discovery CT
Broomfield, CO 80023-8034

3307 Discovery CT
Broomfield, CO 80023-8034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2428COMDChiropractor
1209NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesight LLC CurrentSince Dec 1, 2022 Accepting new patients
Nevada Eyecare LLC CurrentSince Jan 29, 2026 Accepting new patients

Locations

5191 W 112th Ave
Ste 100
Westminster, CO 80031
Phone (303) 635-3937

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1194936401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10442 TOWN CENTER DR",
            "address_2": "STE 600",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216098",
            "telephone_number": "303-980-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 W 112TH AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312178",
            "telephone_number": "720-355-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEDLEY",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.